Under direct supervision, the Inpatient Coder is responsible for accurate coding and abstracting of inpatient cases and services from medical record documentation. The role assigns diagnosis and procedure codes and modifiers using ICD-CM, ICD-PCS, CPT, HCPCS, and other specialty systems as required.
The coder also supports Observation, Hospital Ambulatory Surgery, Emergency Department, and complex Hospital Outpatient Visit services when needed. Work must be completed in accordance with coding regulations, official guidelines, and Kaiser Permanente coding standards.
Key responsibilities include reviewing medical record documentation, sequencing diagnoses and procedures correctly, determining appropriate DRGs, abstracting data for reporting, correcting data when needed, and communicating with physicians to clarify documentation. The role also requires maintaining confidentiality and data security.
Qualifications
- Must reside in Northern California
- 3 years of continuous hospital coding experience within the last 5 years
- High school diploma or GED
- Completion of coursework in medical terminology, anatomy, physiology, current ICD-CM, ICD-PCS, CPT coding conventions, and disease process from an accredited program
- Certified Coding Specialist (CCS) or Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA)
- Minimum score of 75% on the KP Inpatient Coding test
- Ability to meet productivity and quality standards
- Knowledge of anatomy, physiology, medical terminology, disease process, reimbursement methodologies, and coding compliance
- Ability to communicate with physicians regarding diagnosis/procedure clarification and sequencing
- Must maintain coding credential and required continuing education units
- Must comply with AHIMA and AAPC code of ethics
Location
California, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
1 month ago